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SURVEY REQUIRED <br /> -AlWaste Tireft,ey & Inspection R '! <br /> M i State of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> G Inspection <br /> SteDSuffix: ` �p ® Report I I — 1 _, 1 j <br /> 6l � I <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> u,L,xv t A,-,AS�A 14- <br /> Cis �n� f u <br /> \Ac�-� <br /> e Ste- <br /> A <br /> o . <br /> FE—xJAml���T� 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy.Operator Pink Copy: • <br /> LEA <br />